Exam 1 SG Flashcards
anterior compartment
tibialis anterior, extensor hallucis longus, extensor digitorum longus, peroneus tertius, deep peroneal nerve, anterior tibial artery and vein
lateral compartment
peroneus longus and brevis, superficial peroneal nerve, peroneal artery
superficial posterior compartment
triceps surae
deep posterior compartment
tibialis posterior, flexor digitorum longus, flexor hallucis longus, tibial nerve, posterior tibial artery/vein
ankle articulartions
distal tibiofibular syndesmosis joint
talocrural joint
rear foot articulations
subtalar (talocalcaneal) joint
inferior talus and superior calcaneous
posterior, anterior, and middle
mid foot articulations
talocalcaneonavicular (TCN) joint
calcaneocuboid (CC) joint
forefoot articulations
tarsometatarsal (TMT)
metatarsophalangeal (MTP)
DIP and PIP (4)
talocrural joint
ankle
action
plantarflexion
dorsiflexion
talartarsal joint
foot
action
inversion
eversion
PIP and DIP
toes
action
flexion 2-5
extension 2-5
dorsiflexion
20
firm/hard
plantarflexion
50
firm/hard
inversion
talocrural 5
forefoot 35
firm
eversion
talocrural 5
forefoot 15
hard/firm
anterior drawer
how to perform
positive sign
what pathology
lie in supine, knee joint slightly flexed, ankle joint 10 to 15 PF, grasp patients heel, stabilize leg and draw foot anteriorly
tibia pulls forward
ACL injury
anterior talofibular ligament
posterior drawer
how to perform
positive sign
what pathology
lie in supine, knee joint slightly flexed, ankle joint 10 to 15 PF, grasp patients heel, stabilize leg and draw foot posteriorly
tibia pulls backwards
posterior cruciate ligament
talar tilt (inversion/eversion)
how to perform
positive sign
what pathology
sitting with leg off, PF, grab calcaneous and perform inversion, anatomical position, then go into inversion and eversion, DF and eversion and inversion
pain, excessive gapping
calcaneiofibular and deltoid ligament
kleiger’s test
how to perform
positive sign
what pathology
foot DF and externally rotated
pain
syndesmosis injury
cotton test
how to perform
positive sign
what pathology
stabilize tibia and fibula, lateral translation to foot
translation of 3-5 mm, or clank heard or felt
syndesmosis injury
TMT/midtarsal glide
how to perform
positive sign
what pathology
supine or seated, grasp metatarsal and proximal tarsal bone, anterior and posterior glide,
laxity or decreased mobility
deep transverse metatarsal ligament or interosseous ligament
Valgus/varus
how to perform
positive sign
what pathology
valgus- stabilize, rotate toe out
varus- stabilize, rotate inward
pain or increase laxity
sprain MCL, LCL, avulsion fracture
thompson test
how to perform
positive sign
what pathology
lie face down, feet hand off edge, grab gastroc
no movement in foot
rupture of achilles tendon
tap/percussion test
how to perform
positive sign
what pathology
tap end of long bone
pain
bone fracture
long bone compression
how to perform
positive sign
what pathology
pressing on ends of bone
pain
long bone fracture
tinel’s sign
how to perform
positive sign
what pathology
tap posterior to medial malleolus
tingling or parathesia distally
peripheral nerve injury
homan’s sign
how to perform
positive sign
what pathology
extend knee, raise up to 10 degrees, passively and abruptly DF foot and squeezes calf
deep calf pain and tenderness
deep vein thrombosis
feiss line
how to perform
positive sign
what pathology
draw line between apex of medial malleolus, draw straight line to first MTP joint, find navicular tuberosity, have weight bearing find navicular tuberosity,
navicular tubercle below line
pes planus
navicular drop test
how to perform
positive sign
what pathology
mark navicular tubercle NWB and WB
if more than 1 cm different
pes plansu
interdigital neuroma test
how to perform
positive sign
what pathology
squeeze distal foot together
reproduction of patient’s symptoms
morton’s neuroma
ankle girth test
how to perform
positive sign
what pathology
figure 8 tape measure around ankle
increased measurement on one side
swelling and inflammation
syndesmosis sprain
MOI
signs/symptoms
evaluation techniques
extreme external rotation or DF of talus
pain, inflammation, lack of movement, Kleiger’s test
RICE, NWB, refer to physcian
compartment syndrom
MOI
signs/symptoms
evaluation techniques
acute- blunt force trauma chronic- exertional shiny, weak pulses, AROM decreased, no DF, PF painful, acute- emergency room chronic- IB and stretching
hallux valgus
MOI
signs/symptoms
evaluation techniques
arthritic or metabolic conditions
medially deviation of first metatarsal
insoles, or surgery to fix
mortons neuroma
MOI
signs/symptoms
evaluation techniques
entrapment of common intermetatarsal nerve 3/4, 2/3
pain in traverse arch radiating into toes, PT between MT heads, interdigital neuroma test
refer to Dr. modification of foot wear, orthotics, surgery
plantar faciitis
MOI
signs/symptoms
evaluation techniques
forced DF of ankle w/ toe extension or insidious
pain at calcaneal tubercle radiates distally, worse with WB, PT
orthotics, heel cups/foam, stretching of calr,
stress fracture
MOI
signs/symptoms
evaluation techniques
chronic overuse
insidious, chronic pain, localized pain
PT at fx site, normal ROM,
refer to Dr., won’t show up for 4-6 weeks
os trigonum
MOI
signs/symptoms
evaluation techniques
traumatic, forced hyperPF,
pain deep to the achilles tendon with activity,
swelling over anteromedial and anterolateral to the achilles tendon, pain with palpation over posterior talus, A/P ROM pain w/ PF
PRICE, refer to Dr.
lisfranc injuries
MOI
signs/symptoms
evaluation techniques
foot is in a PF and recieves blow in th heel area axial loading the metatarsals
sever midfoot pain, or paratheisa,
swelling along midfoot, pain WB,
pain control, NWB, refer to Dr.
achilles tendinopathy
MOI
signs/symptoms
evaluation techniques
pain or buring along tendon
repetitive eccentric contraction of gastroc/soleus
PT, crepitus, limited ROM in PF/DF,
NSAIDS, rest, ice, heal lift or cup, immobilization, stretching
lateral bony structure palpation
fibular shaft lateral malleouls lateral border of calcaneous peroneal tubercle cuboid base of 5th metatarsal 5th metatarsal 5th phalange
anterior (dorsal) bony structure palpation
anterior tibial shaft talar dome cuniforms navicular cuboid phalanges